| NPI | 1376597849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE R WILLS Physical Therapist/Owner 321-676-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 5799) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-01-11 |